Active NPI
Robert Marshall Dimick, MD
- Orthopaedic Surgery of the Spine Physician
- Hermitage, TN
National Provider Identifier
1346212602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 25983
- Practice address
- 5651 Frist Boulevard
Suite 500
Hermitage, TN 37076 - Phone
- (615) 889-3340
- Fax
- (615) 889-6087
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25983 | TN | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 25983 | TN | Primary |
Addresses
Primary practice location
5651 Frist Boulevard
Suite 500
Hermitage, TN 37076
Mailing address
1321 Murfreesboro Road
Suite 510
Nashville, TN 37217
Phone (615) 366-8890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4079243 | Other | TN | BCBS |
| 3143916 | Other | TN | BCBS |
| 3085662 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.dimick@srmcfl.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180514001820 | FL | Practitioner - Orthopedic Surgery | 5294632014 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Santa Rosa Hma Physician Management, LLC
Practice addresses (Care Compare)
4225 Woodbine Rd
Pace, FL 32571-8791
Phone (850) 994-6575
5804 Dogwood Dr
Milton, FL 32570-3576
Phone (850) 981-7753
6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762
Hospital & facility affiliations
- Santa Rosa Medical Center
- Gulf Breeze Hospital
- Baptist Hospital
- D W McMillan Memorial Hospital
- Sacred Heart Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 77.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 46 |
| Laminectomy or laminotomy (partial removal of spine bones) | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12276 | AL | MD | Pharmacist |
| 25983 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Hma Physician Management LLC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- robert.dimick.1@4692.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Navarre, FL
- NPI 1245800101
Orthopaedic Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1346212602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 MURFREESBORO ROAD",
"address_2": "SUITE 510",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37217",
"telephone_number": "615-366-8890",
"fax_number": "615-366-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 FRIST BOULEVARD",
"address_2": "SUITE 500",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "37076",
"telephone_number": "615-889-3340",
"fax_number": "615-889-6087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMICK",
"first_name": "ROBERT",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "25983",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TN",
"license": "25983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4079243",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3143916",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3085662",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robert.dimick@srmcfl.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "5651 Frist Boulevard",
"address_2": "Suite 500",
"city": "Hermitage",
"state": "TN",
"country_code": "US",
"postal_code": "37076",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.